NPIMap

Organization Active NPI

Optimal Health Chiropractic & Sports Injury

  • Chiropractor
  • Egg Harbor TWP, NJ
National Provider Identifier
1538567607
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00708500 Issued in NJ
Legal business name
OPTIMAL HEALTH CHIROPRACTIC & SPORTS INJURY
Practice address
3069 English Creek Ave
Office # 201
Egg Harbor TWP, NJ 08234
Phone
(609) 415-2821
Fax
(973) 827-3544
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Carlson, DCNPI 1861837353
Title
Owner/Doctor
Phone
(609) 415-2821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00708500 NJ Primary

Addresses

Primary practice location

3069 English Creek Ave
Office # 201
Egg Harbor TWP, NJ 08234

Mailing address

3069 English Creek Ave
Office # 201
Egg Harbor TWP, NJ 08234-9708
Phone (609) 415-2821

Other names 1

  • Richard Carlson, DC Other name

National Provider Directory

National Provider Directory
Tax ID family
Optimal Health Chiropractic and Sport Injury2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1538567607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE",
            "address_2": "OFFICE # 201",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-415-2821",
            "fax_number": "970-827-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE",
            "address_2": "OFFICE # 201",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-415-2821",
            "fax_number": "973-827-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC & SPORTS INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "609-415-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00708500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Carlson, DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.